| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Facility | $33,886.98 | $33,886.98 | $33,886.98 | |
Horizon BCBS
| Facility | $8,702.00 | $13,785.00 | $13,785.00 | |
Horizon BCBS
| Professional | $755.86 | $755.86 | $755.86 | |
United
| Professional | $889.25 | $889.25 | $938.16 |